Total arch replacement using the Gelweave Lupiae graft for an aneurysm arising from Kommerell's diverticulum with an aberrant left subclavian artery and right-sided aortic arch.

We present a case of Kommerell's diverticulum with the aberrant left subclavian artery and a right-sided aortic arch in a 70-year-old male patient who was treated with total arch replacement using the Gelweave Lupiae graft. The Lupiae graft fitted well to total arch replacement for this pathology because the structure was consistent with the anatomical features.